A survey of attitude of frontline clinicians and nurses towards adverse events

Abstract

Medical errorAdverse events a b s t r a c t Background: It is often said that doctors are only human. However, technological wonders, apparent precision of diagnostic tests and scientific innovation have created an expectation of perfection from medical science. Patient safety and prevalence of adverse events on the hospital floor have become issues of serious concern for the healthcare environment.Method: The study had cross-sectional design, done over a period of one year at a teaching medical college and its affiliated hospitals. The study instrument was an anonymous, voluntary 5-point Likert scaled questionnaire and study sample was selected by simple random sampling into two groups of front-line clinicians (n ¼ 175) and nurses (n ¼ 60). The questionnaire was analysed for its reliability, construct and content validity. Subsequently, the data was entered into an Excel Spreadsheet and further analysed by statistical software SPSS version 16.Results: Total of 175 front-line clinicians and 60 nurses completed the survey for response rate of 96%. The study instrument was suitably validated for its psychometric properties. Statistically significant differences were observed between the two study samples across certain attitudinal statements, the important ones being responsibility for reporting and comfort level towards disclosing adverse events. Surgical site infections, Medication errors and Patient Falls were the commonly observed adverse events and lack of communication among team members was identified as a major factor leading to adverse events. Conclusion:Effective attitude-based interventions need to be developed, where the attitude and culture of front-line healthcare workers can be explicitly targeted for inducing desirable behavioural changes towards improved patient safety.ª 2013, Armed Forces Medical Services (AFMS). All rights reserved.

Incidents reported by nurse anaesthetists in the operating room

“…The second most frequent category was related to routines and guidelines that were not followed by health care professionals. This finding is in line with findings reported by Chakravarty (2013), which showed that errors were built into existing routines and devices, which was the case in incidents in the operating room reported in this study. It is a challenge to enhance patients' safety and evidence-based care.…”

Patient Safety Culture from the Viewpoint of Nurses: A Cross-Sectional Study in 2016

“…Assessments from a similar study demonstrate the results were similar to the recent study, in which the "Teamwork within unit" has allocated the highest score among the patient safety culture dimensions (24).Regarding errors, researches showed that if employees do not interact with each other about the errors occurring in the department and hide the errors, the individuals will not be aware of the errors and able to provide a solution to prevent re-occurring of the errors, consequently, operational program of the staff will not change (25).In examining the viewpoints of the samples concerning the phrases of the safety culture questionnaire in the dimension of, "teamwork within units", the highest mean in the terms ranking was related to the term, "In this unit, people treated each other with respect". Mutual respect is one of the most substantial factors that affect the performance of the hospital departments.…”

Avaliação Da Cultura De Segurança Do Paciente Em Terapia Intensiva Na Perspectiva Da Equipe De Saúde

“…17 The relevance of engaging the professionals who have direct contact with the patient in this safety improvement process should be highlighted, motivating them to feel safe to do so, admitting human fallibility and the need to reconsider the healthcare processes and routines. 13 …”